Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per wee[...]
University Health
Pharmacy Business and Contracting Analyst - Pharmacy - UH Truman Medical Center (5 days per week; 8:00a-4:30p; Onsite Mon-Fri) 101 Truman Medical Center Job Location University Health Truman Medical Center Department Pharmacy Inpatient UHTMC Position Type Full time Work Schedule 8:00AM - 4:30PM Hours Per Week 40 Job Description Pharmacy Business & Contract Analyst We are seeking a strategic and analytically driven Pharmacy Business & Contract Analyst to support revenue optimization, payer relationships, and contract performance across the health system's pharmacy services. This role serves as a key liaison between pharmacy operations, payers, and leadership-driving data-informed decision-making and ensuring compliance with contractual and regulatory requirements. Role Overview The Pharmacy Business & Contract Analyst is responsible for managing pharmacy-related contracts, supporting revenue cycle performance, and delivering actionable insights through financial and operational analysis. This role plays a critical part in identifying opportunities to enhance reimbursement, improve efficiency, and strengthen payer performance across the organization. Key Responsibilities Manage and support pharmacy contracting activities, ensuring compliance with payer requirements and internal policies Analyze payer performance, reimbursement trends, and contract compliance to identify risks and opportunities Conduct financial audits and business analyses to support revenue integrity and operational efficiency Serve as the primary point of contact for pharmacy-related payer inquiries, issue resolution, and relationship management Maintain provider manuals, payer databases, and contract documentation (paper and electronic) Develop, prepare, and maintain data analytics and reporting tools for leadership and operational teams Provide recommendations for process improvements, workflow optimization, and revenue enhancement Support training and education related to contracts, reimbursement, and billing practices Ensure compliance with regulatory standards, including HIPAA and government payer requirements Minimum Qualifications Doctor of Pharmacy (PharmD) or Registered Pharmacist with equivalent experience Minimum of 5 years of pharmacy practice experience Current licensure as a Pharmacist in the State of Missouri Preferred Qualifications Master's degree in Public Health, Business Administration, Health Administration, Health Informatics, Accounting, or related field Experience in pharmacy, insurance, or healthcare business environments involving contracts and third-party payers Knowledge of Medicare, Medicaid, HIPAA, and reimbursement practices Familiarity with electronic claims processing and revenue cycle operations Ideal Candidate Profile Strong analytical and financial acumen with attention to detail Ability to translate complex data into actionable insights Excellent communication and stakeholder management skills Proactive problem-solver with a focus on continuous improvement and business outcomes #J-18808-Ljbffr University Health
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